• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法,用中文像聊天一样搜索,搜遍4000万医学文献。AI智能推荐,让科研检索更轻松。

立即免费搜索

文件翻译

保留排版,准确专业,支持PDF/Word/PPT等文件格式,支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述,25分钟生成高质量综述,智能提取关键信息,辅助科研写作。

立即免费体验

利用生物材料保障嵌合抗原受体T细胞疗法:减轻不良反应的巧妙探索

Harnessing Biomaterials for Safeguarding Chimeric Antigen Receptor T Cell Therapy: An Artful Expedition in Mitigating Adverse Effects.

作者信息

Chen Zhaozhao, Hu Yu, Mei Heng

机构信息

Institute of Hematology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1277 Jiefang Avenue, Wuhan 430022, China.

Hubei Clinical Medical Center of Cell Therapy for Neoplastic Disease, Wuhan 430022, China.

出版信息

Pharmaceuticals (Basel). 2024 Jan 22;17(1):139. doi: 10.3390/ph17010139.

DOI:10.3390/ph17010139
PMID:38276012
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10819334/
Abstract

Chimeric antigen receptor T cell (CAR-T) therapy has emerged as a groundbreaking approach in cancer treatment, showcasing remarkable efficacy. However, the formidable challenge lies in taming the formidable side effects associated with this innovative therapy, among which cytokine release syndrome (CRS), immune effector cell-associated neurotoxicity syndrome (ICANS) and on-target off-tumor toxicities (OTOT) are typical representatives. Championing the next frontier in cellular immunotherapy, this comprehensive review embarks on an artistic exploration of leveraging biomaterials to meticulously navigate the intricate landscape of CAR-T cell therapy. Unraveling the tapestry of potential toxicities, our discourse unveils a symphony of innovative strategies designed to elevate the safety profile of this revolutionary therapeutic approach. Through the lens of advanced medical science, we illuminate the promise of biomaterial interventions in sculpting a safer and more efficacious path for CAR-T cell therapy, transcending the boundaries of conventional treatment paradigms.

摘要

嵌合抗原受体T细胞(CAR-T)疗法已成为癌症治疗中一种开创性的方法,展现出显著的疗效。然而,巨大的挑战在于控制与这种创新疗法相关的严重副作用,其中细胞因子释放综合征(CRS)、免疫效应细胞相关神经毒性综合征(ICANS)和靶向非肿瘤毒性(OTOT)是典型代表。作为细胞免疫治疗的下一个前沿领域,这篇综述开始了一项艺术探索,即利用生物材料精心应对CAR-T细胞治疗的复杂局面。通过剖析潜在毒性的全貌,我们的论述揭示了一系列创新策略,旨在提升这种革命性治疗方法的安全性。透过先进医学科学的视角,我们阐明了生物材料干预在为CAR-T细胞治疗塑造更安全、更有效的路径方面的前景,超越了传统治疗模式的界限。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/07ed/10819334/9020a15cdd30/pharmaceuticals-17-00139-sch006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/07ed/10819334/8149fd3d80ab/pharmaceuticals-17-00139-sch001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/07ed/10819334/58106047faf0/pharmaceuticals-17-00139-sch002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/07ed/10819334/dc77b5fcab50/pharmaceuticals-17-00139-sch003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/07ed/10819334/a61c6d5433e5/pharmaceuticals-17-00139-sch004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/07ed/10819334/43f07ff43997/pharmaceuticals-17-00139-sch005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/07ed/10819334/9020a15cdd30/pharmaceuticals-17-00139-sch006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/07ed/10819334/8149fd3d80ab/pharmaceuticals-17-00139-sch001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/07ed/10819334/58106047faf0/pharmaceuticals-17-00139-sch002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/07ed/10819334/dc77b5fcab50/pharmaceuticals-17-00139-sch003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/07ed/10819334/a61c6d5433e5/pharmaceuticals-17-00139-sch004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/07ed/10819334/43f07ff43997/pharmaceuticals-17-00139-sch005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/07ed/10819334/9020a15cdd30/pharmaceuticals-17-00139-sch006.jpg

相似文献

1
Harnessing Biomaterials for Safeguarding Chimeric Antigen Receptor T Cell Therapy: An Artful Expedition in Mitigating Adverse Effects.利用生物材料保障嵌合抗原受体T细胞疗法:减轻不良反应的巧妙探索
Pharmaceuticals (Basel). 2024 Jan 22;17(1):139. doi: 10.3390/ph17010139.
2
Building safety into CAR-T therapy.将建筑安全纳入 CAR-T 疗法中。
Hum Vaccin Immunother. 2023 Dec 15;19(3):2275457. doi: 10.1080/21645515.2023.2275457. Epub 2023 Nov 15.
3
Exploring CAR-T Cell Therapy Side Effects: Mechanisms and Management Strategies.探索嵌合抗原受体T细胞(CAR-T)疗法的副作用:作用机制与管理策略
J Clin Med. 2023 Sep 22;12(19):6124. doi: 10.3390/jcm12196124.
4
Immune effector cell associated neurotoxicity syndrome in chimeric antigen receptor-T cell therapy.嵌合抗原受体 T 细胞疗法相关免疫效应细胞相关神经毒性综合征。
Front Immunol. 2022 Aug 23;13:879608. doi: 10.3389/fimmu.2022.879608. eCollection 2022.
5
Mechanisms of immune effector cell-associated neurotoxicity syndrome after CAR-T treatment.嵌合抗原受体 T 细胞治疗后免疫效应细胞相关神经毒性综合征的机制。
WIREs Mech Dis. 2022 Nov;14(6):e1576. doi: 10.1002/wsbm.1576. Epub 2022 Jul 24.
6
Efficacy and Toxicity of CD19 Chimeric Antigen Receptor T Cell Therapy for Lymphoma in Solid Organ Transplant Recipients: A Systematic Review and Meta-Analysis.嵌合抗原受体 T 细胞疗法治疗实体器官移植受者淋巴瘤的疗效和毒性:系统评价和荟萃分析。
Transplant Cell Ther. 2024 Jan;30(1):73.e1-73.e12. doi: 10.1016/j.jtct.2023.05.018. Epub 2023 Jun 4.
7
Taming the beast: CRS and ICANS after CAR T-cell therapy for ALL.驯服野兽:CAR T 细胞治疗 ALL 后 CRS 和 ICANS。
Bone Marrow Transplant. 2021 Mar;56(3):552-566. doi: 10.1038/s41409-020-01134-4. Epub 2020 Nov 24.
8
Side-effect management of chimeric antigen receptor (CAR) T-cell therapy.嵌合抗原受体 (CAR) T 细胞疗法的副作用管理。
Ann Oncol. 2021 Jan;32(1):34-48. doi: 10.1016/j.annonc.2020.10.478. Epub 2020 Oct 21.
9
Thrombotic Events Are Unusual Toxicities of Chimeric Antigen Receptor T-Cell Therapies.嵌合抗原受体 T 细胞疗法的罕见毒性为血栓事件。
Int J Mol Sci. 2023 May 6;24(9):8349. doi: 10.3390/ijms24098349.
10
Mechanisms of cytokine release syndrome and neurotoxicity of CAR T-cell therapy and associated prevention and management strategies.嵌合抗原受体 T 细胞疗法的细胞因子释放综合征和神经毒性的机制及相关预防和管理策略。
J Exp Clin Cancer Res. 2021 Nov 18;40(1):367. doi: 10.1186/s13046-021-02148-6.

本文引用的文献

1
Third-generation CD19.CAR-T cell-containing combination therapy in Scl70+ systemic sclerosis.含第三代CD19嵌合抗原受体T细胞(CD19.CAR-T)的联合疗法治疗抗拓扑异构酶I抗体(Scl70)阳性系统性硬化症
Ann Rheum Dis. 2024 Mar 12;83(4):543-546. doi: 10.1136/ard-2023-225174.
2
Recent Advances on NIR-II Light-Enhanced Chemodynamic Therapy.近红外二区光增强化学动力学疗法的最新进展。
Adv Healthc Mater. 2024 Apr;13(10):e2303451. doi: 10.1002/adhm.202303451. Epub 2023 Nov 27.
3
Latent human herpesvirus 6 is reactivated in CAR T cells.潜伏的人类疱疹病毒 6 在 CAR T 细胞中被激活。
Nature. 2023 Nov;623(7987):608-615. doi: 10.1038/s41586-023-06704-2. Epub 2023 Nov 8.
4
Treatment-induced and Pre-existing Anti-peg Antibodies: Prevalence, Clinical Implications, and Future Perspectives.治疗诱导和预先存在的抗聚乙二醇抗体:流行率、临床意义和未来展望。
J Pharm Sci. 2024 Mar;113(3):555-578. doi: 10.1016/j.xphs.2023.11.001. Epub 2023 Nov 4.
5
Exploring CAR-T Cell Therapy Side Effects: Mechanisms and Management Strategies.探索嵌合抗原受体T细胞(CAR-T)疗法的副作用:作用机制与管理策略
J Clin Med. 2023 Sep 22;12(19):6124. doi: 10.3390/jcm12196124.
6
Suppression of cytokine release syndrome during CAR-T-cell therapy via a subcutaneously injected interleukin-6-adsorbing hydrogel.通过皮下注射白细胞介素 6 吸附水凝胶抑制嵌合抗原受体 T 细胞治疗中的细胞因子释放综合征。
Nat Biomed Eng. 2023 Sep;7(9):1129-1141. doi: 10.1038/s41551-023-01084-4. Epub 2023 Sep 11.
7
In situ PEGylation of CAR T cells alleviates cytokine release syndrome and neurotoxicity.嵌合抗原受体(CAR)T细胞的原位聚乙二醇化可减轻细胞因子释放综合征和神经毒性。
Nat Mater. 2023 Dec;22(12):1571-1580. doi: 10.1038/s41563-023-01646-6. Epub 2023 Sep 11.
8
A major role for CD4 T cells in driving cytokine release syndrome during CAR T cell therapy.CD4 T 细胞在 CAR T 细胞治疗中驱动细胞因子释放综合征的主要作用。
Cell Rep Med. 2023 Sep 19;4(9):101161. doi: 10.1016/j.xcrm.2023.101161. Epub 2023 Aug 17.
9
Neurological adverse effects of chimeric antigen receptor T-cell therapy.嵌合抗原受体T细胞疗法的神经学不良影响。
Expert Rev Clin Immunol. 2023 Jul-Dec;19(11):1361-1383. doi: 10.1080/1744666X.2023.2248390. Epub 2023 Sep 4.
10
Tregs with an MHC class II peptide-specific chimeric antigen receptor prevent autoimmune diabetes in mice.嵌合抗原受体识别 MHC Ⅱ类肽的调节性 T 细胞可预防小鼠自身免疫性糖尿病。
J Clin Invest. 2023 Sep 15;133(18):e168601. doi: 10.1172/JCI168601.